# French public spending and administrative reform > Live situation record from CLSTR: https://clstr.news/situations/french-public-spending-and-administrative-reform > Updated: 2026-10-04T16:19:17.000Z. Sources: 8. Developments: 2. France is facing various proposals and reports aimed at addressing rising public spending and administrative inefficiencies. In September 2026, a government report proposed transferring €6.7 billion in annual sanitary transport costs and portions of daily allowances from the national health insurance (Assurance-maladie) to private mutual insurers and employers. This move was suggested to address rising costs, including a 57% increase in sick leave over nine years and significant fraud detection. By October 2026, focus expanded to broader administrative and budgetary reforms. A report by the Inspection générale des finances (IGF) and the Inspection générale de l’administration (IGA) recommended reviewing the 543 different bonuses paid to civil servants, which total approximately 19.1 billion euros. Additionally, the Hexagone observatory criticized the proliferation of state health agencies, arguing that an accumulation of coordination bodies and high councils has created a complex structure with “diluted responsibilities and budgetary drifts.” ## Timeline ### 2026-10-04: France faces calls to reform civil servant bonuses and health agencies Reports in France highlight calls to rationalize 543 civil servant bonuses and criticize the excessive proliferation of state health agencies due to administrative complexity and high public spending. 2 sources. https://clstr.news/cluster/france-faces-calls-to-reform-civil-servant-bonuses-and-health-agencies ### 2026-09-23: France healthcare reform: Report proposes €6.7 billion transfer A report proposes transferring €6.7 billion in sanitary transport costs from French national health insurance to private insurers and employers amid rising healthcare costs. 6 sources. https://clstr.news/cluster/france-healthcare-reform-report-proposes-67-billion-transfer --- Cite as: French public spending and administrative reform. CLSTR, https://clstr.news/situations/french-public-spending-and-administrative-reform